HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE NFO MUST4E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '7 ' �a' Permit Number: D
rs iii'mi� BY SCANNED
RECEIVE
-
—= t Lucie County
Bui ding Permit Application APR 13 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X I SAeSlrHaqOuntyr FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S Ocean Drive, Jensen Beach Florida
Legal Description: Atlantis B Condominium Bldg B
Property Tax ID #: 4502-803-0000-000-0
Site Plan Name: Atlantis B
Project Name: Atlantis B Concrete Restoration
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete Restoration for Balconies at units
Lot No.
Block No.
212,213,214,215,216, 217,218,219,312,313,314, 315,316,317, 318, 319,412,413,414,415,416,417,418,
419,512,513,514, 515,516, 517, 518,519,612,613, 614, 615,616, 617, 618,619,712,713,714, 715,716,717,
CONSTRUCTION INFORMATION:
Aa
rtiona I
wor to e e orme under tispermit—checka apply:
I_]HVAC Gas Tank E]GasPiping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5 8i 091,ltilities:Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAtlantis B condominium Association
Name: Elie Jouni
Address:10152 S Ocean Drive
Company: Blue Coast Construction
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No.412-478-1107
Address: 2587 SE Monroe St _
City: Stuart State:FL
Zip Code: 34997 Fax: 772-287-5348
Phone No. 561-632-3529
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: elie@bluecci.com
State or County License: CGC1520062
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f�.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Mftff." FedC�11VFEiC/Ar* Cg(W Name:
Address: 7/ R f ►X►F_ HWY Address:
City: illsl2-r— State: _ g City: State:
Zip: z&Qq/ Phone43Z.-7-0}-0r-Z Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmmpncing work or recording vour Notice of Commencement.
Signature of Owner/ Les Co o s Agent
Signature Contra tense Holder .....;.#`'s
o
S
STATE OF FLORIDA -
".''
STATE OF FLORIDA m2�
COUNTY OF
COUNTY OF
s
The f goin instr entwasacknowledg fore m'
a h y,W
a m
The for oinginstr ntwas cknowledge fore � m
this day of CE g
this day of 4- 20 y
e
g'^
TO U_n N6 �
O
.Na
F m:2 s
. �3 9
S
erson making statement �s
Person - Known OR Produced Identificati
Na erson making statement a "N
Pers n Know OR Produced Identificati
Type of�—
Type ication
Produced a
Produced
(Signature of ary Public- State of Florida U
(Signature of Notar ublic- State of Florida )ILI
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVI W
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
li
COMPLETED
Rev.8/2/17